Archive for the ‘Asian Cosmetic Surgery’ Category

Asian Blepharoplasty Double eyelid Crease formation – a personal story in Plastic Surgery

Sunday, September 4th, 2016

Asian Blepharoplasty & Creating the Double Eyelid Crease in Plastic Surgery: A Personal Account of someones’ Story

I had an Asian Patient from Idaho come to me and our Plastic Surgery Clinic for an asian blepharoplasty double eyelid procedure. She had 4 procedure prior Asian Blepharoplasties / Double Eyelid Crease Forming Procedures prior to coming to see me to create a crease in her eyelid. She went to a surgeon that she was referred to by a close family friend.  Her first surgery created asymmetric eyelid creases so that one person’s higher than the other . So she went in and did it again and this time it was better but she came out with quite a bit of scarring. The surgeon then did another surgery to correct the scarring. I saw her and she wanted me to correct the double eyelid crease. She felt like she wanted to remove skin. She also said that that she had loose skin in the crease and that it was not particularly tight. Her thought was that she could just remove skin to improve the wrinkling.

She went on to tell me that she felt that being in America, especially in a part of America that’s not as diverse, she felt more “Asian” than typical. She felt that she stood out a little bit more among the rest of the people. So she wanted to change her most distinguishing asian features which were her “Chinese Eyes”. Comments like “Chinese, Japanese, dirty knees, look at these” were strange and hurtful. She even brought up a period where Abercrombie and Fitch sold shirts that said:”Wong Brothers Laundry Service — Two Wongs Can Make It White”, “Rick Shaw’s Hoagies and Grinders…Order by the foot. Good meat. Quick feet.” Read more here: Racist t shirts by Abercrombie and Fitch.

I know how she felt. Back in the day that I grew up even in Seattle, being asian was definitely different. Comments from teachers and students racially flavored has an effect on how you feel about yourself. When you are white in a white dominated population, the way you look doesn’t come into the discussion as much.  If you have some physical element that stands out that can be something that you could be made fun of and it might or might not be as divisive as race, for example in the situation where someone has bigger ears or bigger nose. But I guess we all have some challenges to overcome and being different racially just might be a minority’s challenge. But it seems like most people agree that it shouldn’t be.

After a long discussion we decided that she needed to have her crease recreated and actually no skin taken out. So our plan was to recreate the crease. We spend about and hour to figure out exactly where her points were in her eyelid that she wanted to have the crease set. In the surgery, the crease and the layers in the eyelid were highly scarred. It took me quite a long time to identify the anatomy. With the eyelid open and the patient somewhat awake I was able to see the movement of the muscle that pulls up the eyelid crease in the tarsal plate that is in front of the eye. Through careful identification of the levator I was able to carry out the double crease formation. Here’s a video showing the double eyelid crease formation just to get an idea of how this procedure is done.

Thanks,
Dr Philip Young and our Team at Aesthetic Facial Body Plastic Surgery

Questions about Rhinoplasty for the Ethnic Clientele:

Tuesday, November 18th, 2014
This was a question answer session on Rhinoplasty for a person with Asian ethnicity that was wondering about augmentation for the bridge and the nasal tip. Asian and Ethnic Rhinoplasty can many times mean augmentation or the need to add tissue to shape the nose. This is more common in the Asian Clientele. Often times the cartilage in their nose tend to be weak, disjointed, soft and unlike normal cartilage anatomy. Also the resources of cartilage in the septum tend to be scant and weak as well. Hence, other resources can sometimes be needed such as the ear and rib. The rib tends to be the last  resort given the invasiveness of the approach.  Medpor can sometimes offer some building materials and this has worked well in the Ethnic Asian Clientele.
1.  Do you think I have enough cartilage for my bridge and tip without going to the ribs? Yes I do. The limitation would be how high you can make your bridge and how much you would need for your nose. One ear cartilage can be used for the tip and the other used for the bridge. We would also harvest all we could from your septum including bone and cartilage.
2.  Would there ever be a need to remove an implant made from cartilage? . You shouldn’t if you like it. Once formed you can also alter it. Medpor is something that can be altered as well. It starts acting like your own tissue at 12 weeks. But I understand the fear of implants and natural cartilage is the best.
 
3.  Some websites say that implants from cartilage can get absorbed or warped over time.  How much chance is there of that? .They would be absorbed in the first few months but not later. Warping is more of an issue with rib cartilage. The ear cartilage is minced and takes on what you shape it into.
4.  Some literatures  also indicate that cartilage donor sites can die.  Is that possible and if so what will happen? .donor sites? Not sure about what exactly your asking but this is not something that has been a problem. 
.did you see this lady below. she had an ear cartilage graft placed: http://www.drphilipyoung.com/rhinoplasty-revision/

Asian Ethnic Laser Resurfacing by Dr Philip Young Aesthetic Facial Plastic Surgery Bellevue | Seattle

Monday, June 10th, 2013
Asian Ethnic Laser Resurfacing Before

Asian Ethnic Laser Resurfacing Before

Asian Ethnic Laser Resurfacing After Picture

Asian Ethnic Laser Resurfacing After Picture

Asian Ethnic Laser Resurfacing by Dr Philip Young Aesthetic Facial Plastic Surgery Bellevue | Seattle: Asian patients tend to develop moles and sunspots more so than the rest of the patient population. This is also something that is found other ethnicities. We explain some topics on hyperpigmentation and hypopigmentation on our Asian Ethnic Laser Resurfacing Page. Hyperpigmentation can happen as you age.  As you can see in the before and afters above, the laser resurfacing really helped this person out. Some of the moles are still there and these can be addressed as well. This particular patient wanted overall improvement and didn’t want all of the moles gone on his face. You can see our mole removal page and some before and afters here: Aesthetic Facial Plastic Surgery Mole Removal.

Laser resurfacing can be used to take the top layers of the skin down so that the deeper skin cells are able to resurface | reline the skin that has been taken away. In this process, the sun spots are reduced and fine wrinkles are smoothed away and improved. You have to be really careful to keep the laser resurfacing at a safe plane or depth. You can see more before and afters by visiting our laser resurfacing webpage.

We have treatment for some of these conditions including pseudohyperpigmentation. We use topicals to lighten the pseudohyperpigmentation that occurs a lot with asian laser resurfacing patients. You can visit our skin care page to read more about these topicals here:  Skin Care Products for Anti Aging.

Our Mission is to deliver unwavering quality care to improve people’s lives through Facial Plastic Surgery and the YoungVitalizer.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Asian Plastic Surgery Testimonials | Reviews for Dr. Philip Young & Aesthetic Facial Plastic Surgery

Tuesday, March 26th, 2013

Asian Plastic Surgery Testimonials | Reviews for Dr. Philip Young & Aesthetic Facial Plastic Surgery. Click here to read more: Bellevue Dr Philip Young Testimonials | Reviews Asian Plastic Surgery.

Asian Plastic | Cosmetic Surgery is the art of science of Plastic Surgery that concentrates on the Asian Population. Perhaps the areas most unique to this category of plastic surgery is the double eyelid surgery and asian rhinoplasty. The double eyelid surgery is unique in that it requires more complex approaches than traditional straight forward blepharoplasty | eyelift that is done for the aging eye. Essentially, the double eyelid surgery entails attaching the skin and the components of the skin, to the levator muscle or the muscle that elevated the eyelid. We have a nice diagram and discussion of this procedure here: Asian Double Eyelid Crease Formation Surgery.

You can read more about our Asian Plastic Surgery by following this link.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Asian Eyelid Surgery – The Orbicularis Fixation Technique by Dr. Philip Young of Bellevue | Seattle:

Wednesday, September 5th, 2012

Asian Eyelid Surgery – The Orbicularis Fixation Technique by Dr. Philip Young of Bellevue | Seattle: This is important to bring up for many reasons. This technique is quite different from the way 90% of surgeons do this procedure. We use this technique to create the crease and essentially permanent sutures are left in there to help keep your crease much longer lasting. Also the fold works more in a natural way. The technique is called the Orbicularis Fixation Technique for Asian Double Eyelids. The below anatomy will show you what we are talking about. Most surgeons perform the dermal fixation technique where the crease forming sutures are used to grasp the upper eyelid skin incisional edge then the levator muscle and then the lower eyelid incisional edge. These sutures are then taken out 6-7 days later. The crease is then dependent on scar formation to keep the crease. Sometimes this can be good enough, sometimes this can lead to asymmetric results and relaxation and multiple folds. The orbicularis fixation technique is based on the fact that the orbicularis muscle is tightly adherent to the skin of the eyelids. So attachment of this muscle to the levator is just like attaching the skin to the levator. Also with this attachment, the fold acts more natural. Meaning there is not a scar crease for the fold but it is created by the muscle attaching to where the fold should be. You can click here to learn more about Asian Eyelid Surgery.

Rhinoplasty evaluating before and after pictures by Dr. Philip Young Bellevue

Friday, July 27th, 2012

Rhinoplasty evaluating before and after pictures by Dr. Philip Young Bellevue:  Before and after pictures are really important for you to see what you can expect from your rhinoplasty surgeon. A picture is worth a thousand words as they say. One thing you should really see is the before and afters from the profile view and even more importantly is seeing the results from the frontal view. The profile view is mainly a 2 dimensional view. It is much easier to get a good result on the profile view.  This is why many surgeons choose to show only the profile view. If you see your surgeon only showing the profile view it would be prudent for you to see more photos from the frontal view, the view you see when you look directly at a person. Which is the view that matters the most. If you only see the profile view on their websites, this should be something to worry about. The frontal view is important for see how the nose looks from a 3 dimensional aspect. The frontal view is all about shadows and will tell you what the nose will really look like. IT is the hardest view to achieve the best results and the best before and after photos.

This is a frontal view of a patient that had a rhinoplasty to narrow the tip and the nostril area. Notice that she is now wearing shorter hair.  You have to have confidence to wear short hair. She is really happy with her rhinoplasty results.

 

asian rhinoplasty before after

asian rhinoplasty before after

Here is a before and after a revision rhinoplasty for a person who had an implant extrude from her nose that was placed in Korea. She was super happy with her result! This patient is featured in our Asian cosmetic surgery page as well.

rhinoplasty revision asian

rhinoplasty revision asian

 

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Healing your body and mind by Dr. Young of Aesthetic Facial Plastic Surgery

Friday, December 9th, 2011

Healing your body and mind by Dr. Philip Young of Aesthetic Facial Plastic Surgery: Once you have the procedure you waited a long time for, it is time to be patient and wait, again, for your body to heal.  Unfortunately, a surgeon’s scalpel is not a magic wand and healing will occur at different rates for different people.  You must allow yourself to heal and be aware it is natural to be impatient for the results and a little anxious because you often look worse before you look better.  Being aware this can happen will help you understand these normal feelings.

Sharing your experience with friends and family can help give you a support system during your recovery, but realize they may unintentionally make you question your decision with concerns during your recovery.  While you may think that you are looking pretty rough around the edges, we may tell you that you are healing beautifully.  Trust us.  We will share with you if there is a concern, so if we tell you that everything is healing normally, it is.

Your healing will depend on many things such as your general health, your willingness to follow instructions, and your mental attitude toward recovery.  While I can perform the surgery, I cannot “heal” you.  It is up to you to be an active participant in your recovery process to help your body heal the best that it can.  Following all of our instruction is very important, as is working with us to address any complications that may arise.  Even surgeries that are done exactly right can have complications during recovery.  It has to do with the human factor.  We are not machines and every person can react differently and heal differently even when the surgery is done exactly the same.  Every surgeon has unexpected results from time to time.

It is important you approach your surgery and especially your recovery with the mindset that we are a team, and you are an integral part of that team.  We must trust each other to be working for a common goal, your successful result.  As the surgeon, I enjoy my work and strive to achieve an ideal result during every surgery for every patient.  I have rigorous standards that my staff must meet in order to be involved in your care.  I am looking forward to working with you to achieve a great result and do not anticipate any post-operative problems.  I will do everything I can to make sure that you are happy with your result.

Dr. Philip Young, MD

 

I’m european and have low eyebrows and puffy eyelids. Would a brow lift be something for me?

Thursday, June 9th, 2011

I’m european and have low eyebrows and puffy eyelids. Would a brow lift be something for me by of Dr. Philip Young Bellevue | Seattle: I see that you may have some fullness in the upper eyelid area. This is actually something that gives you youth and that is something to think about.  Your eyebrows may be a little low but not worth the extent of a browlift.  A browlift could feminize you and create more of a surprised look for you. I think if you were to consider something, I would suggest taking some skin from your upper eyelid or actually creating a crease as in Asian eyelid surgery. This could define your upper eyelids more. Your situation is something that Asian people inquire about all the time.  A crease could decrease the puffiness you have to a controlled degree without lifting your eyebrows to a surprised and more feminine appearance.

upper eyelid lift blepharoplasty

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our main website for Dr. Young and Aesthetic Facial Plastic Surgery at www.drphilipyoung.com

My fold is too low after Asian Eyelid Surgery and would like it higher? Can this be done? My previous surgeon said that there is not enough skin to do that.

Tuesday, June 7th, 2011

My fold is too low after Asian Eyelid Surgery and would like it higher? CAn this be done? My previous surgeon said that there is not enough skin to do that a discussion by Dr. Philip Young: Yes you can increase the height of the crease after Asian Eyelid Crease Surgery. It will entail setting the crease higher with a higher incision. The drawback in this situation is that you may have two incisions that could be exposed if you don’t have enough skin. It is likely that your crease is high enough and that all you need is more skin taken out. This is much simpler to do.  The options are there for you. I think non incision techniques that the others are advocating is harder to achieve symmetry and long lasting results and you may need to get more surgery in the future to correct that approach. Below is a picture from our Asian Double Eyelid Procedure Webpage that discusses more details on this procedure.

asian double eyelid anatomy

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our main website at www.drphilipyoung.com

Asian rhinoplasty for a hump and an area that could use an implant. How to make it harmonious with my forehead.

Tuesday, June 7th, 2011

Asian rhinoplasty for a hump and an area that could use an implant. How to make it harmonious with my forehead Dr. Philip Young. Asian rhinoplasty is a unique procedure all in itself within the realm of Asian Cosmetic Surgery.  You have a bridge which is not as common as an Asian person that needs a bridge.  You also need a bridge above the hump area.  Ultimately, you should have this discussion with your doctor so he can tailor a procedure for you. What this is probably going to entail is reduction of the hump area and an addition of a graft above it.  Alternatively, you could just need augmentation to camouflage the hump. There is a way to avoid making your nose bridge look weird after augmentation. There are standards for the Asian nose. typically the nose bridge starts below that of a Caucasian. Although I think that, in all races, there is an ideal to where the nasal bridge starts. A Caucasian nose normally starts at the eyelid crease or eyelid margin or somewhere between the two points.  I have theory on beauty that has helped me decide exactly where the nasal bridge should start.  I have a unique techinque with Asian Rhinoplasty that you can read about on my website.

asian rhinoplasty before after images

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come Visit our main procedure page for www.drphilipyoung.com: http://www.drphilipyoung.com/procedures/